Health services for chronic drug users in an era of managed care. The University of Miami Community-Based Health Services Research Center

Clyde B. McCoy, Lisa R. Metsch, Dale D. Chitwood, James E. Rivers, H. Virginia McCoy, Sarah Messiah

Research output: Chapter in Book/Report/Conference proceedingChapter

11 Scopus citations

Abstract

This chapter reports findings on two studies that culminated in the development of a multilevel intervention to improve access to health care among chronic drug users. The first two studies began with an investigation of the health care delivery system serving chronic drug users in Miami-Dade County, Florida from the perspectives of both consumers and providers. These studies documented the health care needs and use patterns of chronic drug users as well as the practices and perspectives of the providers who served them. Findings indicated that (1) chronic drug users demonstrated greater health care needs than nondrug users; (2) chronic drug users were less likely to receive appropriate health care services; and (3) the gap between services needed and services actually provided can be ameliorated. By participating in our multilevel intervention, both health care providers and health care consumers changed attitudes and behaviors resulting in the provision of appropriate, accessible, and acceptable health care.

Original languageEnglish (US)
Title of host publicationEmergent Issues in the Field of Drug Abuse
Pages151-174
Number of pages24
StatePublished - Dec 1 2000

Publication series

NameAdvances in Medical Sociology
Volume7
ISSN (Print)1057-6290

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

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